内镜超声治疗及其系统回顾

doi:10.3877/cma.j.issn.1674-0793.2014.06.017

表1 证据评分等级

Table 1 Level of evidence per subject

Level of evidence	Ⅰa	Ⅰb	Ⅱa	Ⅱb	Ⅲ	Ⅳ	Total
EUS-GD of pancreatic fluid collections	1	5	0	16	42	20	84
EUS-guided necrosectomy	1	1	0	0	15	3	20
EUS-guided cholangiography and biliary drainage	0	1	0	7	37	40	85
EUS-guided pancreatography and pancreatic duct drainage	0	0	0	0	9	6	15
EUS-guided gallbladder drainage	0	1	0	3	1	2	7
EUS-GD of abdominal (non-peripancreatic) and pelvic collections	0	0	0	2	3	2	7
EUS-guided Celiac Plexus Neurolysis or Block	4	7	1	5	16	19	52
EUS-guided ethanol ablation	0	1	0	5	13	9	28
EUS-guided tumor ablation	0	0	0	9	4	21	34
EUS-guided fiducial placement	0	0	0	2	10	14	26
EUS-guided vascular intervention	0	1	0	2	15	5	23
Total	6	17	1	51	165	141	381

表1 证据评分等级

Table 1 Level of evidence per subject

Level of evidence	Ⅰa	Ⅰb	Ⅱa	Ⅱb	Ⅲ	Ⅳ	Total
EUS-GD of pancreatic fluid collections	1	5	0	16	42	20	84
EUS-guided necrosectomy	1	1	0	0	15	3	20
EUS-guided cholangiography and biliary drainage	0	1	0	7	37	40	85
EUS-guided pancreatography and pancreatic duct drainage	0	0	0	0	9	6	15
EUS-guided gallbladder drainage	0	1	0	3	1	2	7
EUS-GD of abdominal (non-peripancreatic) and pelvic collections	0	0	0	2	3	2	7
EUS-guided Celiac Plexus Neurolysis or Block	4	7	1	5	16	19	52
EUS-guided ethanol ablation	0	1	0	5	13	9	28
EUS-guided tumor ablation	0	0	0	9	4	21	34
EUS-guided fiducial placement	0	0	0	2	10	14	26
EUS-guided vascular intervention	0	1	0	2	15	5	23
Total	6	17	1	51	165	141	381

表2 EUS-GD治疗PFC

Table 2 Endoscoplc ultrasound-guided drainage of pancreatic fluid collections

Ref.	Design	Cases	Technical success	Clinical success	Recurrence	Complications
Binmoeller et al[^[8]	RS	27	93%	78%	22%	52%
Pfaffenbach et al^[9]	PS	11	91%	82%	18%	None
Giovannini et al^[10]	PS	35	100%	89%	9%	3%
Norton et al^[11]	RS	14	93%	93%	23%	14%
Vosoghi et al^[12]	RS	14	100%	93%	7%	7%
Enya et al^[13]	PS	13	100%	85%	0%	None
Hookey et al^[14]	RS	32	96%	93%	12%	11%
Krüger et al^[15]	PS	35	94%	88%	12%	33%
Azar et at^[16]	RS	23	91%	82%	18%	4%
Antillon et al^[17]	PS	33	94%	87%	4%	15%
Kahaleh et al^[18]	PS	46	100%	93%	NR	19%
Ahlawat et al^[19]	PS	11	100%	82%	18%	18%
Arvanitakis et al^[20]	RCT	46	100%	94%	11%	22%
Lopes et al^[21]	RS	51	94%	84%	17%	25%
Varadarajulu et al^[22]	PS	23	100%	95%	0%	None
Lopes et al^[23]	PS	31	100%	94%	19%	26%
Ardengh et al^[24]	PS	77	94%	91%	11%	6%
Varadarajulu et al^[25]	RS	20	100%	95%	NR	None
Varadarajulu et al^[26]	RCT	24	100%	96%	NR	4%
Varadarajulu et al^[27]	PS	60	95%	93%	4%	2%
Barthet et al^[28]	PS	28	100%	89%	NR	25%
Talreja et al^[29]	PS	18	100%	95%	0%	44%
Park et al^[30]	RCT	39	95%	95%	6%	7%
Yasuda et al^[31]	RS	26	92%	87%	17%	None
Itoi et al^[32]	PS	13	100%	100%	0%	None
Varadarajulu et al^[33]	PS	10	100%	90%	0%	None
Ang et al^[34]	PS	10	100%	100%	0%	10%
Ahn et al^[35]	RS	47	98%	100%	11%	11%
Jazrawi et al^[36]	RS	10	100%	100%	10%	None
Sadik et at^[37]	PS	26	100%	88%	4%	15%
Will et al^[38]	PS	132	97%	96%	15%	29%
Seicean et al^[39]	PS	24	83%	79%	0%	17%
Heinzow et al^[40]	RS	42	88%	78%	21%	21%
Varadarajulu et al^[41]	PS	148	100%	99%	NR	5%
Varadarajulu et al^[42]	RS	60²	100%	69%	0%	8%
Varadarajulu et al^[43]	RS	20	100%	100%	5%	None
Zheng et al^[44]	PS	14	90%	90%	0%	19%
Voermans et al^[45]	RCT	52	100%	82%	9%	11%
Mangiavillano et al^[46]	PS	21	86%	81%	14%	5%
Seewald et al^[47]	RS	80	97%	83%	13%	26%
Itoi et al^[48]	RS	15	100%	100%	0%	6%
Puri et al^[49]	PS	40	100%	97%	2%	7%
Fabbri et al^[50]	PS	20	100%	95%	5%	15%
Rasmussen et al^[51]	RS	22	86%	86%	18%	18%
Khashab et al^[52]	RS	10	100%	100%	0%	None
Penn et al^[53]	PS	20	100%	85%	18%	15%
Weilert et al^[54]	PS	18	100%	78%	NR	33%
Rana et al^[55]	RS	20²	100%	100%	0%	5%
Binmoeller et al^[56]	RS	14	100%	79%	NR	21%
Nan et at^[57]	RS	21	100%	100%	NR	5%
Kato et al^[58]	RS	67	88%	83%	15%	1%
Künzli et al^[59]	RS	108	97%	84%	18%	20%
Siddiqui el al^[60]	RS	88	99%	79%	3%	30%
Rische et al^[61]	RS	18	100%	94%	6%	33%
Varadarajulu et al^[62]	RCT	20	100%	95%	0%	None
Total	55 studies	1867	97% (83%-100%)	90% (69%-100%)	8% (0%-23%)	17% (0%-52%)

表2 EUS-GD治疗PFC

Table 2 Endoscoplc ultrasound-guided drainage of pancreatic fluid collections

Ref.	Design	Cases	Technical success	Clinical success	Recurrence	Complications
Binmoeller et al[^[8]	RS	27	93%	78%	22%	52%
Pfaffenbach et al^[9]	PS	11	91%	82%	18%	None
Giovannini et al^[10]	PS	35	100%	89%	9%	3%
Norton et al^[11]	RS	14	93%	93%	23%	14%
Vosoghi et al^[12]	RS	14	100%	93%	7%	7%
Enya et al^[13]	PS	13	100%	85%	0%	None
Hookey et al^[14]	RS	32	96%	93%	12%	11%
Krüger et al^[15]	PS	35	94%	88%	12%	33%
Azar et at^[16]	RS	23	91%	82%	18%	4%
Antillon et al^[17]	PS	33	94%	87%	4%	15%
Kahaleh et al^[18]	PS	46	100%	93%	NR	19%
Ahlawat et al^[19]	PS	11	100%	82%	18%	18%
Arvanitakis et al^[20]	RCT	46	100%	94%	11%	22%
Lopes et al^[21]	RS	51	94%	84%	17%	25%
Varadarajulu et al^[22]	PS	23	100%	95%	0%	None
Lopes et al^[23]	PS	31	100%	94%	19%	26%
Ardengh et al^[24]	PS	77	94%	91%	11%	6%
Varadarajulu et al^[25]	RS	20	100%	95%	NR	None
Varadarajulu et al^[26]	RCT	24	100%	96%	NR	4%
Varadarajulu et al^[27]	PS	60	95%	93%	4%	2%
Barthet et al^[28]	PS	28	100%	89%	NR	25%
Talreja et al^[29]	PS	18	100%	95%	0%	44%
Park et al^[30]	RCT	39	95%	95%	6%	7%
Yasuda et al^[31]	RS	26	92%	87%	17%	None
Itoi et al^[32]	PS	13	100%	100%	0%	None
Varadarajulu et al^[33]	PS	10	100%	90%	0%	None
Ang et al^[34]	PS	10	100%	100%	0%	10%
Ahn et al^[35]	RS	47	98%	100%	11%	11%
Jazrawi et al^[36]	RS	10	100%	100%	10%	None
Sadik et at^[37]	PS	26	100%	88%	4%	15%
Will et al^[38]	PS	132	97%	96%	15%	29%
Seicean et al^[39]	PS	24	83%	79%	0%	17%
Heinzow et al^[40]	RS	42	88%	78%	21%	21%
Varadarajulu et al^[41]	PS	148	100%	99%	NR	5%
Varadarajulu et al^[42]	RS	60²	100%	69%	0%	8%
Varadarajulu et al^[43]	RS	20	100%	100%	5%	None
Zheng et al^[44]	PS	14	90%	90%	0%	19%
Voermans et al^[45]	RCT	52	100%	82%	9%	11%
Mangiavillano et al^[46]	PS	21	86%	81%	14%	5%
Seewald et al^[47]	RS	80	97%	83%	13%	26%
Itoi et al^[48]	RS	15	100%	100%	0%	6%
Puri et al^[49]	PS	40	100%	97%	2%	7%
Fabbri et al^[50]	PS	20	100%	95%	5%	15%
Rasmussen et al^[51]	RS	22	86%	86%	18%	18%
Khashab et al^[52]	RS	10	100%	100%	0%	None
Penn et al^[53]	PS	20	100%	85%	18%	15%
Weilert et al^[54]	PS	18	100%	78%	NR	33%
Rana et al^[55]	RS	20²	100%	100%	0%	5%
Binmoeller et al^[56]	RS	14	100%	79%	NR	21%
Nan et at^[57]	RS	21	100%	100%	NR	5%
Kato et al^[58]	RS	67	88%	83%	15%	1%
Künzli et al^[59]	RS	108	97%	84%	18%	20%
Siddiqui el al^[60]	RS	88	99%	79%	3%	30%
Rische et al^[61]	RS	18	100%	94%	6%	33%
Varadarajulu et al^[62]	RCT	20	100%	95%	0%	None
Total	55 studies	1867	97% (83%-100%)	90% (69%-100%)	8% (0%-23%)	17% (0%-52%)

表3 EUS引导的坏死灶清除术

Table 3 Endoscopic ultrasound-guided necrosectomy

Ref.	Design	Cases	Technical success	Clinical success	Recurrence	Complications¹
Seewald et al^[70]	RS	13	100%	85%	15%	30%
Charnley et al^[71]	RS	13	100%	92%	0%	None
Voermans el al^[72]	RS	25	100%	93%	7%	40%
Hocke el al^[73]	RS	30	97%	83%	3%	23%
Schrover et al^[74]	RS	8	100%	75%	12%	25%
Mathew et al^[75]	RS	6	100%	100%	0%	None
Escourrou et al^[76]	RS	13	100%	100%	0%	46%
Jürgensen et al^[77]	RS	35	100%	97%	0%	17%
Bakker et al^[78]	RCT	10	100%	100%	20%	40%
Will et al^[79]	RS	18	100%	100%	11%	17%
Rische et al^[61]	RS	22	100%	86%	14%	36%
Yamamoto et al^[80]	RS	4	100%	50%	NR	25%
Hritze et al^[81]	RS	4	100%	100%	0%	None
Yasuda et al^[82]	RS	57	100%	75%	7%	33%
Ang el al^[83]	RS	8	100%	87%	13%	None
Sarkaria et al^[84]	RS	17	100%	88%	0%	6%
Total	16 studies	283	100% (97%-100%)	88% (50%-100%)	7% (0%-20%)	28% (0%-46%)

表3 EUS引导的坏死灶清除术

Table 3 Endoscopic ultrasound-guided necrosectomy

Ref.	Design	Cases	Technical success	Clinical success	Recurrence	Complications¹
Seewald et al^[70]	RS	13	100%	85%	15%	30%
Charnley et al^[71]	RS	13	100%	92%	0%	None
Voermans el al^[72]	RS	25	100%	93%	7%	40%
Hocke el al^[73]	RS	30	97%	83%	3%	23%
Schrover et al^[74]	RS	8	100%	75%	12%	25%
Mathew et al^[75]	RS	6	100%	100%	0%	None
Escourrou et al^[76]	RS	13	100%	100%	0%	46%
Jürgensen et al^[77]	RS	35	100%	97%	0%	17%
Bakker et al^[78]	RCT	10	100%	100%	20%	40%
Will et al^[79]	RS	18	100%	100%	11%	17%
Rische et al^[61]	RS	22	100%	86%	14%	36%
Yamamoto et al^[80]	RS	4	100%	50%	NR	25%
Hritze et al^[81]	RS	4	100%	100%	0%	None
Yasuda et al^[82]	RS	57	100%	75%	7%	33%
Ang el al^[83]	RS	8	100%	87%	13%	None
Sarkaria et al^[84]	RS	17	100%	88%	0%	6%
Total	16 studies	283	100% (97%-100%)	88% (50%-100%)	7% (0%-20%)	28% (0%-46%)

表4 EUS胆总管造影及胆汁引流

Table 4 Endoscopic ultrasound-guided cholangiography and biliary drainage

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Bories et al^[86]	RS	11	91%	80%	72%
Maranki et al^[87]	RS	49	84%	80%	18%
Brauer et al^[88]	PS	12	92%	72%	16%
Horaguchi et al^[89]	PS	16	100%	94%	37%
Kim et al^[90]	RS	15	80%	80%	None
Fabbri et al^[91]	PS	16	75%	75%	8%
Park et al^[92]	RS	57	96%	89%	47%
Hara el al^[93]	PS	18	94%	94%	77%
Komaki et at^[94]	RS	15	100%	100%	46%
Ramírez-Luna et al^[95]	PS	11	91%	82%	18%
Shah et al^[96]	RS	68	85%	85%	9%
Iwashita et al^[97]	RS	40	73%	73%	12%²
Dhir et al^[98]	RS	58	98%	98%	3%
Artifon et al^[99]	RCT	13	100%	100%	15%
Song et at^[100]	PS	15	87%	87%	47%
Kim et al^[101]	PS	13	92%	84%	38%
Vila et al^[102]	RS	106	70%	70%	23%
Horaguchi et al^[103]	RS	21	100%	100%	10%
Hara et al^[104]	PS	18	94%	89%	27%
Park et at^[105]	PS	45	91%	87%	11%
Kawakubo et al^[106]	RS	14	100%	100%	14%
Dhir et al^[107]	RS	35	97%	97%	23%
Khashab et al^[108]	RS	35	94%	91%	14%
Gornals et al^[109]	RS	15	87%	73%	40%
Gupta et al^[110]	RS	240	99%	87%	35%
Dhir et al^[111]	RS	68	97%	97%	21%³
Kawakubo et al^[112]	RS	64	95%	95%	42%
Total	27 studies	1088	91% (70%-100%)	87% (70%-100%)	29% (3%-77%)

表4 EUS胆总管造影及胆汁引流

Table 4 Endoscopic ultrasound-guided cholangiography and biliary drainage

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Bories et al^[86]	RS	11	91%	80%	72%
Maranki et al^[87]	RS	49	84%	80%	18%
Brauer et al^[88]	PS	12	92%	72%	16%
Horaguchi et al^[89]	PS	16	100%	94%	37%
Kim et al^[90]	RS	15	80%	80%	None
Fabbri et al^[91]	PS	16	75%	75%	8%
Park et al^[92]	RS	57	96%	89%	47%
Hara el al^[93]	PS	18	94%	94%	77%
Komaki et at^[94]	RS	15	100%	100%	46%
Ramírez-Luna et al^[95]	PS	11	91%	82%	18%
Shah et al^[96]	RS	68	85%	85%	9%
Iwashita et al^[97]	RS	40	73%	73%	12%²
Dhir et al^[98]	RS	58	98%	98%	3%
Artifon et al^[99]	RCT	13	100%	100%	15%
Song et at^[100]	PS	15	87%	87%	47%
Kim et al^[101]	PS	13	92%	84%	38%
Vila et al^[102]	RS	106	70%	70%	23%
Horaguchi et al^[103]	RS	21	100%	100%	10%
Hara et al^[104]	PS	18	94%	89%	27%
Park et at^[105]	PS	45	91%	87%	11%
Kawakubo et al^[106]	RS	14	100%	100%	14%
Dhir et al^[107]	RS	35	97%	97%	23%
Khashab et al^[108]	RS	35	94%	91%	14%
Gornals et al^[109]	RS	15	87%	73%	40%
Gupta et al^[110]	RS	240	99%	87%	35%
Dhir et al^[111]	RS	68	97%	97%	21%³
Kawakubo et al^[112]	RS	64	95%	95%	42%
Total	27 studies	1088	91% (70%-100%)	87% (70%-100%)	29% (3%-77%)

表5 EUS胰腺造影及PDD

Table 5 Endoscopic ultrasound-guided pancreatography and pancreatic duct drainage

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Will et al^[114]	RS	12	100% (SPDD: 67%)	50%	43%
Tcssier el al^[115]	RS	36	92% (SPDD: 92%)	69%	55%
Kahaleh et al^[116]	RS	13	100% (SPDD: 77%)	77%	15%
Barkay et al^[117]	RS	21	86% (SPDD: 48%)	86%	10%
Ergun et al^[118]	RS	20	100% (SPDD: 90%)	72%	20%
Shah et al^[96]	RS	25	100% (SPDD: 86%)	100%	16%
Vila et al^[102]	RS	19	58% (SPDD: NR)	NR	26%
Kurihara et al^[119]	RS	14	100% (SPDD: 93%)	93%	7%
Fujii et al^[120]	RS	45	98% (SPDD: 73%)	53%	24%
Total	9 studies	205	100% (58%-100%)	745% (53%-100%)	20%(7%-55%)

表5 EUS胰腺造影及PDD

Table 5 Endoscopic ultrasound-guided pancreatography and pancreatic duct drainage

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Will et al^[114]	RS	12	100% (SPDD: 67%)	50%	43%
Tcssier el al^[115]	RS	36	92% (SPDD: 92%)	69%	55%
Kahaleh et al^[116]	RS	13	100% (SPDD: 77%)	77%	15%
Barkay et al^[117]	RS	21	86% (SPDD: 48%)	86%	10%
Ergun et al^[118]	RS	20	100% (SPDD: 90%)	72%	20%
Shah et al^[96]	RS	25	100% (SPDD: 86%)	100%	16%
Vila et al^[102]	RS	19	58% (SPDD: NR)	NR	26%
Kurihara et al^[119]	RS	14	100% (SPDD: 93%)	93%	7%
Fujii et al^[120]	RS	45	98% (SPDD: 73%)	53%	24%
Total	9 studies	205	100% (58%-100%)	745% (53%-100%)	20%(7%-55%)

表6 EUS胆囊引流

Table 6 Endoscopic ultrasound-guided drainage of gallbladder

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Baron et al^[121]	CR	1	100%	100%	None
Kwan et al^[122]	RS	3	100%	100%	33%
Lee et al^[123]	PS	9	100%	100%	11%
Takasawa et al^[124]	CR	1	100%	100%	None
Kamata et al^[125]	CR	1	100%	100%	None
Kamata et al^[126]	CR	1	100%	100%	None
Song et al^[127]	PS	8	100%	100%	37%
Súbtil et al^[128]	RS	4	100%	100%	25%
Itoi et al^[129]	CR	2	100%	100%	None
Jang et al^[130]	PS	15	100%	100%	13%
Jang et al^[131]	RCT	30	97%	97%	7%
Itoi et al^[48]	RS	5	100%	100%	None
Itoi et al^[132]	CR	1	100%	100%	None
de la Serna-Higuera et al^[133]	RS	13	85%	85%	15%
Widmer et al^[134]	RS	3	100%	100%	None
Total	15 studies	97	100% (85%-100%)	100% (85%-100%)	0% (0%-37%)

表6 EUS胆囊引流

Table 6 Endoscopic ultrasound-guided drainage of gallbladder

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Baron et al^[121]	CR	1	100%	100%	None
Kwan et al^[122]	RS	3	100%	100%	33%
Lee et al^[123]	PS	9	100%	100%	11%
Takasawa et al^[124]	CR	1	100%	100%	None
Kamata et al^[125]	CR	1	100%	100%	None
Kamata et al^[126]	CR	1	100%	100%	None
Song et al^[127]	PS	8	100%	100%	37%
Súbtil et al^[128]	RS	4	100%	100%	25%
Itoi et al^[129]	CR	2	100%	100%	None
Jang et al^[130]	PS	15	100%	100%	13%
Jang et al^[131]	RCT	30	97%	97%	7%
Itoi et al^[48]	RS	5	100%	100%	None
Itoi et al^[132]	CR	1	100%	100%	None
de la Serna-Higuera et al^[133]	RS	13	85%	85%	15%
Widmer et al^[134]	RS	3	100%	100%	None
Total	15 studies	97	100% (85%-100%)	100% (85%-100%)	0% (0%-37%)

表7 EUS介导非胰腺病变的腹腔积液引流

Table 7 Endoscoplc ultrasound-guided drainage of non-peripancreatic and pelvic collections

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Attwell et al^[135]	CR	1	100%	100%	None
Giovannini et al^[136]	PS	12	100%	75%	25%
Seewald et al^[137]	CR	2	100%	100%	None
Seewald et al^[138]	CR	1	100%	100%	None
Kahaleh et al^[139]	CR	2	100%	100%	None
Lee et al^[140]	CR	1	100%	100%	None
Jah et al^[141]	CR	1	100%	100%	None
Shami et al^[142]	RS	5	100%	100%	None
Ang et al^[143]	CR	1	100%	100%	None
Piraka et al^[144]	PS	7	100%	100%	28%
Noh et al^[145]	PS	3	100%	100%	None
Puri et al^[146]	RS	14	100%	93%	None
Itoi et al^[147]	CR	1	100%	100%	None
Decker et al^[148]	CR	1	100%	100%	None
Gupta et al^[149]	RS	20	90%	90%	35%
Ulla-Rocha et al^[150]	RS	6	100%	100%	None
Varadarajulu et al^[151]	CR	1	100%	100%	None
Knuth et al^[152]	CR	1	100%	100%	None
Ramesh et al^[153]	RS	38	100%	87%	None
Luigiano et al^[154]	CR	2	100%	100%	None
Total	20 studies	120	100% (90%-100%)	100% (75%-100%)	0% (0%-35%)

表7 EUS介导非胰腺病变的腹腔积液引流

Table 7 Endoscoplc ultrasound-guided drainage of non-peripancreatic and pelvic collections

Ref.	Design	Cases	Technical success	Clinical success	Complications¹
Attwell et al^[135]	CR	1	100%	100%	None
Giovannini et al^[136]	PS	12	100%	75%	25%
Seewald et al^[137]	CR	2	100%	100%	None
Seewald et al^[138]	CR	1	100%	100%	None
Kahaleh et al^[139]	CR	2	100%	100%	None
Lee et al^[140]	CR	1	100%	100%	None
Jah et al^[141]	CR	1	100%	100%	None
Shami et al^[142]	RS	5	100%	100%	None
Ang et al^[143]	CR	1	100%	100%	None
Piraka et al^[144]	PS	7	100%	100%	28%
Noh et al^[145]	PS	3	100%	100%	None
Puri et al^[146]	RS	14	100%	93%	None
Itoi et al^[147]	CR	1	100%	100%	None
Decker et al^[148]	CR	1	100%	100%	None
Gupta et al^[149]	RS	20	90%	90%	35%
Ulla-Rocha et al^[150]	RS	6	100%	100%	None
Varadarajulu et al^[151]	CR	1	100%	100%	None
Knuth et al^[152]	CR	1	100%	100%	None
Ramesh et al^[153]	RS	38	100%	87%	None
Luigiano et al^[154]	CR	2	100%	100%	None
Total	20 studies	120	100% (90%-100%)	100% (75%-100%)	0% (0%-35%)

表8 EUS腹腔丛消融及阻滞

Table 8 Endoscopic ultrasound-guided plexus neurolysis/celiac plexus block n(%)

Ref.	Design	Indications	Techniques	Technical success	Clinical success (pain relief)	Complications
Wiersema et al^[167]	RS	PC (n = 25) Metastases (n = 5)	CPN	100%	79%-88%	4 transient diarrhea
Gress et al^[163]	RCT	CP (n = 10) CP (n = 8)	EUS-guided CT-guided	100%	50% 25%	None
Gunaratnam et al^[168]	PS	PC (n = 58)	CPN	100%	78%	5 transient abdominal pain
Gress et al^[169]	PS	CP (n = 90)	CPB	100%	55%	3 diarrhea
Tran et al^[170]	RS	PC (n = 10)	CPN	100%	70%	NR
Ramirez-Luna et al^[171]	RS	PC (n = 11)	CPN	100%	72.20%	None
Levy et al^[172]	RS	PC (n = 18)	CGN (n = 17) CGB (n = 1)	NR	16/17 (94) 0/1 (0)	12 hypotension 6 diarrhea
?	?	CP (n = 18)	CGN (n = 5) CGB (n = 13)	NR	4/5(80) 5/13(38)	?
O'TooIe et al^[173]	RS	PC (n = 2) CP (n = 187)	CPB (n = 189)	NR	NR	2 post-procedural pain
?	?	PC (n = 21)	CPN (n = 31)	NR	NR	1 retroperitoneal abscess
?	?	CP (n = 10)	?	?	?	1 hypotension
Santosh et al^[164]	RCT	CP (n = 27) CP (n = 29)	EUS-CPB Percutaneous-CPB	100%	70% 30%	2 diarrhea
Leblanc et al^[165]	RCT	CP (n = 23) CP (n = 27)	CPB (central) CPB (bilateral)	100%	15/23 (65) 16/27 (59)	None
Sahai et al^[174]	RS	PC (n = 34)/CP (n = 37)	Central CPN	100%	45.90% 70.40%	1 adrenal artery bleeding
?	?	PC (n = 45)/CP (n = 44)	Bilateral CPN	?	?	?
Sakamoto et al^[175]	PS	PC (n = 67)	34CPN 33 BPN	100% 96.90%	72%-79% 19%-78%	None
Wyse et al^[158]	RCT	PC (n = 96)	48 CPN 48 control	100%	60.70%	None
Le Blanc et al^[160]	RCT	PC (n = 29) PC (n = 21)	CPB (central) CPB (bilateral)	100%	20/29 (69) 17/21 (81)	None
Téllez-ávila et al^[161]	RS	PC (n = 53)	Central (n = 21) Bilateral (n = 32)	NR	10/21 (48) 18/32 (56)	None
Iwata et al^[176]	RS	PC (n = 47)	CPN	100%	68.10%	NR
Ascunce et al^[177]	RS	PC (n = 64)	CPN	100%	50%	1 hypotension
Stevens et al^[166]	RCT	CP (n = 40)	Triamcinolone + bupivacaine (n = 21)	100%	68.4%-85.7%	1 severe hypertension
?	?	?	Bupivacaine (n=19)	?	?	4 pain exacerbation 1 gastric hematoma
Wiechowska-	RS	PC (n = 29)	CPN	100%	86%	3 diarrhea
Kozlowska et al^[178]	?	?	?	?	?	1 hypotonia 2 post-procedural pain
Wang et al^[179]	PS	PC (n = 23)	Celiac ganglion irradiation	100%	82.60%	None
Leblan et al^[180]	PS	PC (n = 20)	10 mL (n = 10) 20 mL (n = 10)	100%	80% 100%	3 nausea and vomiting 2 diarrhea 1 lightheadness
Seicean et al^[181]	PS	PC (n = 32)	CPN	100%	75%	NR
Doi et la^[162]	RCT	PC (n = 68)	CPN (n = 34) CGN (n = 34)	100% 88.20%	45.50% 73.50%	1 GI bleeding 3 hypotension 5 diarrhea 17 pain exacerbation
Total	23 studies	1327	-	100% (88.2%-100%)	71.9% (45.5%-90%)	-

表8 EUS腹腔丛消融及阻滞

Table 8 Endoscopic ultrasound-guided plexus neurolysis/celiac plexus block n(%)

Ref.	Design	Indications	Techniques	Technical success	Clinical success (pain relief)	Complications
Wiersema et al^[167]	RS	PC (n = 25) Metastases (n = 5)	CPN	100%	79%-88%	4 transient diarrhea
Gress et al^[163]	RCT	CP (n = 10) CP (n = 8)	EUS-guided CT-guided	100%	50% 25%	None
Gunaratnam et al^[168]	PS	PC (n = 58)	CPN	100%	78%	5 transient abdominal pain
Gress et al^[169]	PS	CP (n = 90)	CPB	100%	55%	3 diarrhea
Tran et al^[170]	RS	PC (n = 10)	CPN	100%	70%	NR
Ramirez-Luna et al^[171]	RS	PC (n = 11)	CPN	100%	72.20%	None
Levy et al^[172]	RS	PC (n = 18)	CGN (n = 17) CGB (n = 1)	NR	16/17 (94) 0/1 (0)	12 hypotension 6 diarrhea
?	?	CP (n = 18)	CGN (n = 5) CGB (n = 13)	NR	4/5(80) 5/13(38)	?
O'TooIe et al^[173]	RS	PC (n = 2) CP (n = 187)	CPB (n = 189)	NR	NR	2 post-procedural pain
?	?	PC (n = 21)	CPN (n = 31)	NR	NR	1 retroperitoneal abscess
?	?	CP (n = 10)	?	?	?	1 hypotension
Santosh et al^[164]	RCT	CP (n = 27) CP (n = 29)	EUS-CPB Percutaneous-CPB	100%	70% 30%	2 diarrhea
Leblanc et al^[165]	RCT	CP (n = 23) CP (n = 27)	CPB (central) CPB (bilateral)	100%	15/23 (65) 16/27 (59)	None
Sahai et al^[174]	RS	PC (n = 34)/CP (n = 37)	Central CPN	100%	45.90% 70.40%	1 adrenal artery bleeding
?	?	PC (n = 45)/CP (n = 44)	Bilateral CPN	?	?	?
Sakamoto et al^[175]	PS	PC (n = 67)	34CPN 33 BPN	100% 96.90%	72%-79% 19%-78%	None
Wyse et al^[158]	RCT	PC (n = 96)	48 CPN 48 control	100%	60.70%	None
Le Blanc et al^[160]	RCT	PC (n = 29) PC (n = 21)	CPB (central) CPB (bilateral)	100%	20/29 (69) 17/21 (81)	None
Téllez-ávila et al^[161]	RS	PC (n = 53)	Central (n = 21) Bilateral (n = 32)	NR	10/21 (48) 18/32 (56)	None
Iwata et al^[176]	RS	PC (n = 47)	CPN	100%	68.10%	NR
Ascunce et al^[177]	RS	PC (n = 64)	CPN	100%	50%	1 hypotension
Stevens et al^[166]	RCT	CP (n = 40)	Triamcinolone + bupivacaine (n = 21)	100%	68.4%-85.7%	1 severe hypertension
?	?	?	Bupivacaine (n=19)	?	?	4 pain exacerbation 1 gastric hematoma
Wiechowska-	RS	PC (n = 29)	CPN	100%	86%	3 diarrhea
Kozlowska et al^[178]	?	?	?	?	?	1 hypotonia 2 post-procedural pain
Wang et al^[179]	PS	PC (n = 23)	Celiac ganglion irradiation	100%	82.60%	None
Leblan et al^[180]	PS	PC (n = 20)	10 mL (n = 10) 20 mL (n = 10)	100%	80% 100%	3 nausea and vomiting 2 diarrhea 1 lightheadness
Seicean et al^[181]	PS	PC (n = 32)	CPN	100%	75%	NR
Doi et la^[162]	RCT	PC (n = 68)	CPN (n = 34) CGN (n = 34)	100% 88.20%	45.50% 73.50%	1 GI bleeding 3 hypotension 5 diarrhea 17 pain exacerbation
Total	23 studies	1327	-	100% (88.2%-100%)	71.9% (45.5%-90%)	-

表9 EUS-CPN与EUS-CPB严重并发症

Table 9 Serious adverse events of endoscoplc ultrasound-guided celiac plexus neurolysis/cellac plexus block

Ref.	Journal	Year	Complication	Indication	Technique
Gress et al^[247]	Gastrointest Endosc	1997	1 retroperitoneal bleeding 1 retroperitoneal abscess	CP CP	EUS-CPN EUS-CPB
Mahajan et al^[248]	Gastrointest Endosc	2002	3 empyema	CP	EUS-CPB
Muscatiello et al^[249]	Endoscopy	2006	1 retroperitoneal abscess	PC	EUS-CPN
Sahai el al^[174]	Am J Gastroenterol	2009	1 retroperitoneal bleeding	CP	EUS-CPB
O'Toole et al^[173]	Endoscopy	2009	1 retroperitoneal abscess	CP	EUS-CPB
Ahmed et al^[250]	Endoscopy	2009	1 ischemia	CP	EUS-CPN
Shin SK et al^[251]	Korean J Pain	2010	1 ejaculatory failure	CP	EUS-CPB
Lalueza et al^[252]	Endoscopy	2011	1 brain abscess	CP	EUS-CPN
Gimeno-Garcia et al^[253]	Endoscopy	2012	1 ischemia/death	CP	EUS-CPN
Fujii et al^[254]	Endoscopy	2012	1 spinal cord infarction/paralysis	PC	EUS-CPN-G
Mittal et al^[255]	Neurology	2012	1 spinal cord infarction/paralysis	PC	EUS-CPN-G
Loeve et al^[256]	Gastrointest Endosc	2013	1 gastric necrosis/death	PC	EUS-CPN
Jang et al^[257]	Clin Endosc	2013	1 hepatic-bowel infarction/death	PC	EUS-CPN
Doi et al^[162]	Endoscopy	2013	1 GI bleeding (puncture site)	PC	EUS-CGN

表9 EUS-CPN与EUS-CPB严重并发症

Table 9 Serious adverse events of endoscoplc ultrasound-guided celiac plexus neurolysis/cellac plexus block

Ref.	Journal	Year	Complication	Indication	Technique
Gress et al^[247]	Gastrointest Endosc	1997	1 retroperitoneal bleeding 1 retroperitoneal abscess	CP CP	EUS-CPN EUS-CPB
Mahajan et al^[248]	Gastrointest Endosc	2002	3 empyema	CP	EUS-CPB
Muscatiello et al^[249]	Endoscopy	2006	1 retroperitoneal abscess	PC	EUS-CPN
Sahai el al^[174]	Am J Gastroenterol	2009	1 retroperitoneal bleeding	CP	EUS-CPB
O'Toole et al^[173]	Endoscopy	2009	1 retroperitoneal abscess	CP	EUS-CPB
Ahmed et al^[250]	Endoscopy	2009	1 ischemia	CP	EUS-CPN
Shin SK et al^[251]	Korean J Pain	2010	1 ejaculatory failure	CP	EUS-CPB
Lalueza et al^[252]	Endoscopy	2011	1 brain abscess	CP	EUS-CPN
Gimeno-Garcia et al^[253]	Endoscopy	2012	1 ischemia/death	CP	EUS-CPN
Fujii et al^[254]	Endoscopy	2012	1 spinal cord infarction/paralysis	PC	EUS-CPN-G
Mittal et al^[255]	Neurology	2012	1 spinal cord infarction/paralysis	PC	EUS-CPN-G
Loeve et al^[256]	Gastrointest Endosc	2013	1 gastric necrosis/death	PC	EUS-CPN
Jang et al^[257]	Clin Endosc	2013	1 hepatic-bowel infarction/death	PC	EUS-CPN
Doi et al^[162]	Endoscopy	2013	1 GI bleeding (puncture site)	PC	EUS-CGN

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